power, influence and effective clinical leadership

Power, Influence and Effective Clinical Leadership

Michael UrtonDNP, APRN, AGCNS-BCDirector, CNS Program, ECUCNS-Ambulatory, Duke University Hospital

Kristi Reguin-HartmanMSN, APRN, ACNS-BCAdoptions & Outcomes Manager, Philips Global Enterprise Clinical Instructor, ECU

Objectives

Define significance of influence and its

relationship to power and leadership.

Discuss opportunities for clinical leaders to

exert influence within organizations.

Pow e r• POTENTIAL for influence to

bring about desired outcomes• Power—Influence Feedback loop• 5-7 types of power base

(Yukl, 2006)

Power

Personal

Referent

Expert

Network

Positional

Legitimate Reward

CoerciveInformation

Power Bases

Ambition

Energy

Focus

Self-Knowledge

Confidence

Empathy

Tolerates Conflict

Pfeffer, 2010

Essential Qualities:Power & Influence

Esse ntia l Qua litie s Activity

Activity Debrief

KRH MSU

Ability and actions used to cause change in an intended way in an individual or group

• Behaviors• Emotional state,• Perceptions, beliefs, attitudes

U.S. Army, 2011

What Is Influence?

Power Bases

Influence TacticsCompliance

Commitment

Resistance

Influence Outcomes

Feser, 2016

Proactive Influence Tactics

Knight, 2018

BrandConnections

Competencies(Clinical, Communication, Operations)

Building Your Power & Influence

Good leaders know which “buttons” to push in each situation and each individual person or group

Research has suggested Reward, coercive:associated with

compliance

Referent, expert: associated with job

satisfaction

Excessive formal power:curbs motivation,

creativity

US Army, 2011, Feser, 2016

Negotiation Skills• Emotional Intelligence• Crisis Response• Communication

Active Listening Mirroring Silences

The DJ Voice

Tactical Empathy

Calibrated Questions

Voss, 2016

Negotiation Tactics

• People say yes to those they like

• Rely on reciprocity• Consider precedent• Have a strategy

Cialdini, 2018

Ge tting to “ Ye s”

Strategy without tactics is the slowest route to victory. Tactics without strategy is the noise before defeat.

Sun Tzu

• Cialdini, R. (2018). Harnessing the science of persuasion. In Influence and Persuasion (HBR Emotional Intelligence Series). Harvard Business Review.

• Feser, C (2016). When Execution Isn’t Enough.: Decoding inspirational leadership. Wiley• Knight, R. (2018). How to increase your influence at work. Harvard Business Review.

https://hbr.org/2018/02/how-to-increase-your-influence-at-work• Pfeffer, J. Power: Why Some People Have It and Others Don’t . Harper Collins.• Sherman (2018). Leadership influence and power. Nurse Leader, 16(1), 6-7• US Army (2011). Knowledge, Skills, and Abilities for Military Leader Influence.

https://apps.dtic.mil/sti/pdfs/ADA540059.pdf• Voss, C. (2016). Never Split the Difference: Negotiating as if your life depending on it. Penguin

Random House. UK.• Yukl, G & Michel, JW (2006). Proactive influence tactics and leader member exchange. In Power

and influence in organizations: New empirical and theoretical perspectives (pp 87-103). Information Age Publishing.

References

Thanks!

Michael Urton Kristi Reguin-Hartmanmikeurton@gmail.com hartmanrn@bellsouth.net